Individual
KELBY KAAEKUAHIWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54-3611 AKONI PULE HIGHWAY, KAPAAU, HI 96755
(808) 889-7117
Mailing address
PO BOX 687, KAPAAU, HI 96755-0687
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-120705
HI
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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